We
have designed orally bioavailable, non-brain-penetrant
antagonists
of the cannabinoid-1 receptor (CB1R) with a built-in biguanide
sensor to mimic 5′-adenosine monophosphate kinase (AMPK) activation
for treating obesity-associated co-morbidities. A series of 3,4-diarylpyrazolines
bearing rational pharmacophoric pendants designed to limit brain penetration
were synthesized and evaluated in CB1R ligand binding assays
and recombinant AMPK assays. The compounds displayed high CB1R binding affinity and potent CB1R antagonist activities
and acted as AMPK activators. Select compounds showed good oral exposure,
with compounds 36, 38-S
, and 39-S
showing <5% brain penetrance,
attesting to peripheral restriction. In vivo studies
of 38-S
revealed decreased food intake
and body weight reduction in diet-induced obese mice as well as oral in vivo efficacy of 38-S
in
ameliorating glucose tolerance and insulin resistance. The designed
“cannabinoformin” four-arm CB1R antagonists
could serve as potential leads for treatment of metabolic syndrome
disorders with negligible neuropsychiatric side effects.